Correcting a High Nasal Bridge and Crooked Nose with Rib Cartilage for a Naturally Feminine Look

noselab
9월 15일
2분 분량

최종 수정일: 9월 24일

Hello, I’m Dr. Cha-Young Kang, chief director of NOSELAB Clinic.

Today, I’d like to share a revision rhinoplasty case focused on high nasal bridge correction and crooked nose improvement using autologous rib cartilage.

Patient Concerns Before High Nasal Bridge Correction

The patient underwent rhinoplasty in 2013, which likely involved a silicone implant, septal cartilage graft, and hump reduction. Over time, she noticed her nasal tip lifting, raising concerns of contracture.

Preoperative consultation photos for high nasal bridge correction and crooked nose: frontal view, left oblique side view, and left side view — Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.

Her concerns included:

Nasal bridge starting too high between the eyes
Crooked nasal line and asymmetry
Upturned tip with nostril exposure
Straight, rigid appearance she described as “chalk-like”
Triangular nasal wings and tip
Desired a softer, rounded tip with feminine balance
Wanted nasolabial angle adjustment to shorten the philtrum

Her goals were to correct the crookedness and lower the high nasal bridge starting point for a naturally feminine look.

Preoperative consultation photos for high nasal bridge correction and crooked nose: right side view, right oblique side view, and nostril view — Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.

Surgical Plan for High Nasal Bridge and Crooked Nose Correction

Septal Extension with Rib Cartilage – Corrected the upturned tip, rebuilt stable support, prevented contracture.
Lowering of the Nasal Bridge Starting Point – Reduced the glabella height, sculpted a natural curve.
Correction of Crooked Nose – Lateral osteotomies straightened the dorsal line and improved symmetry.
Nasolabial Angle Adjustment – Brought the tip down, reduced nostril exposure, shortened philtrum visually.
Tip Refinement – Smoothed triangular tip into a rounded, feminine shape.
Functional Improvement – Inferior turbinate reduction improved rhinitis symptoms and breathing.

Results After High Nasal Bridge Correction and Feminine Refinement

Before and immediately after high nasal bridge correction and crooked nose surgery with rib cartilage: frontal view comparison — Before Surgery (Left) / Immediately After Surgery (Right)

Frontal View: Crooked nose corrected, nostril exposure reduced, feminine nasal line achieved.

Before and after high nasal bridge correction and crooked nose surgery with rib cartilage: side view comparison — Before Surgery (Left) / Immediately After Surgery (Right)

Side Profile: High bridge starting point lowered, tip repositioned, philtrum visually shortened.

Before and after high nasal bridge correction and crooked nose surgery with rib cartilage: oblique side view comparison — Before Surgery (Left) / Immediately After Surgery (Right)

Overall: Transitioned from masculine impression to soft, feminine look with balanced contours.

Before and after high nasal bridge correction and crooked nose surgery with rib cartilage: nostril view comparison — Before Surgery (Left) / Immediately After Surgery (Right)

Medical Insight

Preoperative Video / Immediate Postoperative Video

This revision rhinoplasty required caution due to potential contracture and scar tissue. Using rib cartilage provided stable support while lowering the high nasal bridge starting point—a technically demanding step.

Adjusting the nasolabial angle and refining the tip delivered the rounded feminine result the patient desired.

At NOSELAB Clinic, we provide customized surgical plans balancing aesthetics with function to achieve long-term outcomes.

Thank you for reading.

— Dr. Cha-Young Kang, Chief Director at NOSELAB Clinic